Individual provider · Type 1 NPI

Chanelle Jackson, APRN

Family Nurse Practitioner · Columbia, SC

NPI number 1629510862 Active

Practice location

229 Longtown Rd
Columbia, SC 29229-8550

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice locations

  • 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 · (866) 389-2727

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X20603 (SC)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

Other family nurse practitioner providers in Columbia

See all in Columbia →

About NPI 1629510862

Chanelle Jackson, APRN's National Provider Identifier is 1629510862, issued on Nov 4, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Jan 12, 2024.